Individual provider · Type 1 NPI
Heraclio Lara Jr.
Addiction (Substance Use Disorder) Counselor · Santa Maria, CA
NPI number
1396943338
Active
Practice location
519 W Taylor St Spc 319
Santa Maria, CA 93458-1048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396943338
Heraclio Lara Jr.'s National Provider Identifier is 1396943338, issued on Jul 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Jul 10, 2007.